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INtrapreneurship
August 18, 2008 11:47 AM by Carol Kleinman

The word entrepreneur creates the connotation of a business-minded individual who pioneers change, who wants to work for herself or himself, and who organizes, manages, and assumes the risks of a business enterprise. An intrapreneur is a person within Read More...

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Part 10: More Budget Secrets
July 31, 2008 1:31 PM by Carol Kleinman

Budgets are done initially as computer-modeled projections based on previous performance. What that means is that the computer looks at what was spent and models a budget for the next cycle based on that amount. Thus, if you spend less, you will get less. Read More...

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Part 9: The Courage to Lead
July 28, 2008 12:11 PM by Carol Kleinman

As I developed the recent blog entries, I was led to reflect on what is required of our leaders in the current health care environment. It seems to me that so many of those who allege to lead us suffer from a failure or fear to act. I think courage is Read More...

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Part 8: Developing New Services
July 8, 2008 1:43 PM by Carol Kleinman

One of the important ways we evaluate ideas for new products or services is through a market and SWOT analysis, something you did last term in your portfolio assignment. Someone suggests something they think would be a great new product or service and Read More...

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Part 7: Thoughts on Budgeting
June 19, 2008 11:40 AM by Carol Kleinman

The operations budget, while based in part on expenses, is also based on revenue projections. Clearly we would not knowingly budget to spend more than we expect to earn from a product or service and so we budget accordingly. In general, we do not expect Read More...

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Part 5: Creative Accounting
May 13, 2008 12:23 PM by Carol Kleinman

I thought I would confess one of the strategies I employ in dealing with difficult-to-acquire capital items, something I call "creative accounting." As all of my experience has been in behavioral health operations, it was always been clear to me that Read More...

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Part 4: Reimbursement of Costs…ALL Costs!
April 29, 2008 1:21 PM by Carol Kleinman

When nurses begin to learn about the difference between cost for an item and the total cost for everything involved in supplying the item they are often upset to learn that there indeed may be a charge of $12 for a simple aspirin . Most see it as health Read More...

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Part 2: Prospective Payment Systems: An Historical View
April 14, 2008 12:58 PM by Carol Kleinman

What happens with Prospective Payment Systems (PPS) is that we are paid a flat rate for each Diagnostic Related Group (DRG), rates that were determined after extensive research into the cost of treatment for specific diagnoses. What the PPS system did Read More...

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Part 1: Sharing Financial Information with Staff
April 14, 2008 12:53 PM by Carol Kleinman

One of my pet issues relates to the level of knowledge of nurse managers and administrators about financial operations. I even believe strongly in the importance of beginning to educate staff nurses in the fiscal realities of health care operations! I Read More...

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A Primer on Finance
March 20, 2008 1:22 PM by Carol Kleinman

Nursing leadership skills have changed dramatically in a health care environment so different from years past. Nursing management skills are required at all levels…even at the bedside…as nurses have become coordinators of care. Financial issues have come Read More...

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High Quality, Low Costs
November 28, 2007 10:20 AM by Carol Kleinman

Long-term care organizations must continue to achieve high quality patient care and positive patient outcomes without increasing costs. One consequence of this reality is the development of care delivery models using "nursing substitutes" or unlicensed Read More...

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